Washington-City of Medical Lake - Utility


Account Number must contain numbers & dashes. CUSTOMER SERVICE 509-565-5000 PLC: 36936
509-565-5000
P O Box 369 Medical Lake WA 99022

Pay Location Code 36936

Customer Account Information:

Medical Lake Account Number ( Ex. 1-1234-00) 
Name 

Payment Information:

Payment Type:
Cardholder Phone: Email:
Payment Amount:

Fee Amount (Non Refundable): $0.00 Total Amount: $0.00
First Name: Last Name:
Billing Address (REQUIRED) :
City:
State: Zip/Postal Code:
Account Type
Routing Number:
Account Number:
Card Number: Security Code: Internet Merchant Accounts - PayGov.us
Expiration:
Terms and conditions
 Customer Accepts